Graham C. Penn - Marisa Galbut (2) red
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DocuSign Envelope D D 3 RECEIVED
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RECEIVED
MIAMI BEACH MAR 212023
Office of the City Clerk
1700 Convention Center Drive CITY OF MIAMI BEACH
Miami Beach, FL 33139 OFFICE OF THE CITY CLERK
305.673.7411
LOBBYIST REGISTRATION FORM
Lobbyist means all persons employed or retained,whether paid or not, by a principal who seeks to encourage the passage, defeat or
modification of any ordinance, resolution, action or decision of any commissioner; any action, decision, recommendation of the City
Manager or any City board or committee;or any action,decision or recommendation of any City personnel during the time period of the
entire decision-making process on such action, decision or recommendation that foreseeably will be heard or reviewed by the City
commission,or a City board or committee. The term specifically includes the principal as well as any employee engaged in lobbying
activities.The term"Lobbyists"has specific exclusions. Please refer to City Code Chapter 2, Article VII, Division 3,entitled"Lobbyists,"
for additional information.
Instructions: Please complete all sections of this form and submit the completed form,with the applicable fee,to the Office of the City
Clerk. If you need more space to complete an answer, use a separate sheet(s)of paper. If you have nothing to report in a particular
section, you must write "none" or "n/a" in that section. Any change to any information originally filed, or any additional City
Commissioner or personnel who are also sought to be lobbied shall require that the lobbyist file an amendment to the registration form.
The lobbyist has a continuing duty to supply information and amend the forms filed throughout the period that the lobbying occurs.
Separate registration forms shall be required for each principal represented on each specific issue.
I. LOBBYIST INFORMATION:
Penn Graham C.
NAME OF LOBBYIST (Last) (First) (Middle Name)
Bercow Radell Fernandez Larkin&Tapanes,PLLC 200 S. Biscayne Blvd.,#300,Miami,FL 33131
LOBBYIST BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-374-5300 gpenn@brzoninglaw.com
LOBBYIST BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
II. PRINCIPAL INFORMATION:
Galbut Marisa
NAME OF PRINCIPAL (Last) (First) (Middle Name)
South Beach Heights II,LLC 2200 Biscayne Blvd. Miami Florida 33137
PRINCIPAL BUSINESS NAME AND ADDRESS (Number and Street) (City) (State) (Zip Code)
305-374-5700 mgalbut@crescentheights.com
PRINCIPAL BUSINESS TELEPHONE NUMBER CELLULAR TELEPHONE NUMBER EMAIL ADDRESS
Pursuant to City Code Section 2-482(h)(1i(a): (W principal of any corporation,partnership,or other entity who appears as a lobbyist on behalf of that
entity,wit4out special compensation Ca?reimbursement forain appearance,whether dirt,indirect,CO contingent,to express support of or opposition to
• MI item shall register withilthe Clerk as requicedltiiatliis subsecti5'nIbuttghall notice required to pay any registration fees.
• If the principal is a Corporation, Partnership or Trust, the following information MUST be provided
c
• pursuant to City Code Section 2-482(c):
• NAME OF CHIEF OFFICER,PARTNER,OR BENEFICIARY(if none,write N/A): M.Galbut
• NAME OF ALL PERSONS-HOLDING,DIRECTLY OR INDIRECTLY,A 5%OR MORE OWNERSHIP INTEREST IN SUCH
U
CORPORATION, PARTNERSHIP OR TRUST(if none,write N/A): Please see the attached.
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III. ISSUE TO BE LOBBIED:
Describe with as much detail as is practical, including but not limited to a specific description where
applicable of a pending request for proposal, invitation to bid, or public hearing number.
Development Approvals&Permitting Issues,including but not limited to the Historic Preservation
Board,Design Review Board,Planning Board,Board of Adjustment,Land Use Development,City
Commission, and any City Workshops or Committees,if necessary,relating to the property located
at 663 Alton Road in Miami Beach,Florida.
IV. CITY AGENCIES/INDIVIDUALS TO BE LOBBIED:
Pursuant to City Code Section 2-482(a)(4), list the City Commissioner or City personnel sought to be
lobbied, and whether the lobbyist has entered into any contractual relationship (paid or unpaid) with
said City Commissioner or City personnel from 12 months preceding such commencement of service
with the City to the present date,stating the general nature of the subject contractual relationship.
Full Name of Individual and Contractual Relationship(If yes,explain) YES NO
Title of Person to be Lobbied •
Staff for the Planning&Building Department None X
Public Works&City Administration,PB,HPB,BOA None X
•
DRB,City Commission, and Mayor as necessary None X
Land Use&Sustainability Committee None X
Pursuant to City Code Section 2-482(g), every registrant shall be required to state the extent of any
business, financial, familial or professional relationship, or other relationship giving rise to an
appearance of an impropriety, with any current City Commissioner or City personnel who is sought to
be lobbied as identified on the lobbyist registration form filed,
List any Business, Financial, Familial or Professional Relationship, or other relationship giving rise to an
appearance of impropriety(if none,write N/A):
None
U •
V. DISCLOSE RATE AND AMOUNT OF LOBBYIST COMPENSATION —Be Specific. (Note that a
w contingency fee is prohibited pursuant to City Code Sec. 2-485.3):
$750.00 per hour
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The following six(6)questions MUST be answered:
1) Pursuant to City Code Section 2-488,entitled"Prohibited Campaign Contributions By Lobbyists On Procurement Issues":
Yes XNo: Are you lobbying on a present or pending bid for goods, equipment or services,or on a present or
pending award for goods.equipment or service?
2) Pursuant to City Code Section 2-490,entitled"Prohibited Campaign Contributions By Lobbyists On Real Estate Development
Issues":
Yes x No: Are you lobbying on a pending application for a Development Agreement with the City or application
for change of zoning map designation or change to the City's Future Land Use Map?
3) Pursuant to City Code Section 2-482(h), any person (except those exempt from the definition of"lobbyist" as set forth in
Section 2.481)who only appears as a representative of a not-for-profit corporation or entity without special compensation or
reimbursement for the appearance,whether direct or indirect to express support of or opposition to any item,shall register with
the city clerk as required by this section,but shall not be required to pay any registration fees.
_Yes x No: Are you representing a not-for-profit corporation or entity without special compensation or
reimbursement?
4) Pursuant to City Code Section 2-481, the term lobbyist"specifically excludes the following persons: Expert witnesses who
provide only scientific,technical or other specialized information or testimony in public meetings;any person who only appears
as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether direct,
indirect or contingent,to express support of or opposition to any item;and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or
reimbursement for the appearance.
Yes x No: Are you providing only scientific, technical or other specialized information: appearing as a
representative of a neighborhood association without special compensation or reimbursement or
representing a not-for-profit based organization for the purpose of requesting a grant without
special compensation or reimbursement?
5) Pursuant to City Code Section 2-491(1),no campaign consultant shall lobby the City Commission for a period of 12 months
following the swearing in of any elected official(s)for whom the campaign consultant provided campaign consulting services
within the past election cycle.See Section 2-491 for more information.
_Yes XNo: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle?If yes,please list the incumbent member/si of the City Commission:
_Yes XNo: ti'vrrits. ttbeenlieaaTthanA11 m thaTsinceTthiTek4 rdrffiVal(,)Iwhom Yctt�praviil�d r�1fnQaiq
consulting services was sworn in,
6) Pursuant to City Code Section 2-482(a)(4)a.,a lobbyist who has within the past election cycle provided campaign consulting
services to an incumbent member of the City Commission(which lobbying activity is not otherwise prohibited by Code section
2-491) shall disclose such particular service on his/her lobbyist registration form and shall orally disclose such particular
service before lobbvino the City Commission at a public meeting.
_Yes XNo: Have you provided campaign consulting services to an incumbent member of the City Commission
within the past election cycle?If yes,please list the incumbent members)of the.City Commission:
M Yes XNo: ,Ifvas. were you D ised or did you receive economic consideration in exchange for c*mt1tliq
consuIting"'TUsviErri
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TO BE COMPLETED BY CITY CLERK'S STAFF ONLY
Annual.Registration fee: t I Yes ]No Amount Paid$ MCR 0 Date Pald
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Lobbyist Registration Form received and verified by:
F:\CLER\$ALL\aFORMS\LOBBYIST FORMS\Lobbyist Registration Form Revised 09-20-18 REG.doc Revised 09/20/2018
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VI. SIGNATURES UNDER OATH:
ON FEBRUARY 28 OF EACH YEAR. EACH LOBBYIST SHALL SUBMIT TO THE OFFICE OF THE CITY CLERK A
SIGNED STATEMENT UNDER OATH. LISTING LOBBYING EXPENDITURES. AS WELL AS COMPENSATION
RECEIVED. FOR THE PRECEDING CALENDAR YEAR WITH REGARD TO THE SPECIFIC.ISSUE ON WHICH THE
LOBBYIST HAS BEEN ENGAGED TO LOBBY. A STATEMENT SHALL BE FILED EVEN IF THERE HAS BEEN NO
EXPENDITURE OR COMPESAlahIbOURING THE REPORTING PERIOD.'
Signature of Lobbyist: Pt Date n3/700023
�eF lutlnuod(.148d...
I do solemnly swear or affirm that all of the foregoing facts, statements, and disclosures in this form are true and correct,
and that I have read or am familiar with the provisions contained in Chapter 2, Art. VII, Division 3, entitled "Lobbyists" of
the Miami Beach City Cod-artdeetikreperting requirements.
Signature of Lobbyist: GV' P Docuslgned by: Date 03/20/2023
11-1 obi r Ulla.146a...
Ikalrisa �u�
Signature of Principal: Date na/20/2n23
[FA 1 otal"S42A...
VII. NOTARY SIGNATURE AND SEAL:
LOBBYIST: PRINCIPAL
State of Florida State of Florida
County of: Miami-Dade County of: Miami-Dade
Sworn to(or affirmed)and subscribed before me, Sworn to(or affirmed)and subscribed before me,
by means of 0 physical presence by means of 0 physical presence
or 0 online notarization, or 0 online notarization,
this day of 03/20/2023 ,20_, by this i•day of 03/2n/2n21 •20_,by
Graham C. Penn Marisa Galbut
NAME OF LOBBYIST NAME OF PRINCIPAL
_Produced ID _Produced ID
FORM OF IDENTIFICATION FORM OF IDENTIFICATION
Personally Kno --- _Personally Kn
_- Stpvd a WOO am �&piCm`I m.a.aam
Signatur pf Notary Public Signature of Notary Public
Tana Ramos Diana Ramos
Name of Notary,Typed,Printed or Stamped Name of Notary,Typed,Printed or Stamped
1► 4tUt1Tp,RY S441-1 —
cTana Ramos ► 1 Diana Ramos
ommission#GG 308355 Commission#GG 308355
1 tTotary Public-State of Florida ♦Kfotary Public-State of Florida
1 ThEi by Commission Expires Apr 10,2023 ig persons; IMy Commission Expires Apr 10,2023
1 1
Expe` awe X '^^'7ct.'^—x'. -'^'' ^al or other specializ I -FirmF n+mrnu,VnrserN I1r.Orrignfars. ny person who
only appears as a representative of a neighborhood association without compensation or reimbursement for the appearance,whether
direct,indirect or contingent,to express support of or opposition to any item;and any person who only appears as a representative of
not-for-profit community based organization for the purpose of requesting a grant without special compensation or reimbursement for
the appearance.
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MAM1 BEACH
City of Miami Beach,1700 Convention Center Drive,Miami Beach, Florida 33139,www.miamibeachfl.gov
Office of the City Clerk
Rafael E. Granado, City Clerk CityClerk@miamibeachfl.gov
Tel: 305.673.7411, Fax: 305.673.72521
NAME OF LOBBYIST: Graham C. Penn
1) LOBBYIST FEE EXPENDITURE AND COMPENSATION STATEMENT °
Pursuant to City Code Section 2-485(d), the City Clerk shall notify any lobbyist (or
principal)who fails to file timely a Lobbyist Fee Expenditure and Compensation Statement
(Statement). In addition to any other penalties that may be imposed as provided in
Section 2-485.1, a fine of $50.00 a day shall be assessed for Statements filed after the
due date. The City Clerk shall notify the Miami-Dade County Commission on Ethics and
Public Trust of the failure of a lobbyist (or principal) to file the Statement or pay the
assessed fines after notification.
Any lobbyist, who fails to file the required Statement by April 30th of each year, shall be
automatically suspended from lobbying until all fines are paid, unless the fine has been
appealed to the Miami-Dade County Commission on Ethics and Public Trust.
I hereby acknowledge that on February 28 of each year, I shall submit to the City Clerk a
signed Statement under oath listing all lobbyist expenditures, as well as compensation
received, for the preceding calendar year with regard to the specific issue on which I have
been engaged to lobby.
2) LOBBYIST WITHDRAWAL
Once an issue I have registered to lobby has concluded or I am no longer lobbying on
that issue, I shall immediately file a Notice of Withdrawal with the Office of the City Clerk.
O
3) ANNUAL LOBBYIST REGISTRATION FEE
I understand annual registration of all lobbyists shall be required for each 12-month period
commencing October 1 of each year, and the fee for such annual registration shall be
$500.00 pursuant to Section 2-482 of the Miami Beach City Code.
rDocuSigned by:
ardUkalp r UA 03/20/2023
2V10677D03C1183...
Signature of Lobbyist Date
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SUPPLEMENTARY DISCLOSURE OF INTEREST
Interests in South Beach Heights II. LLC
Percentage of Interest
SBH Holdings II, LLC 99%
2200 Biscayne Blvd.
Miami FL 33137
SBH Management Company, LLC 1%
2200 Biscayne Blvd.
Miami FL 33137
Interests in SBH Holdings II, LLC
Percentage of Interest
CH Investment Holdings, LLC 89.89%
2200 Biscayne Blvd.
Miami FL 33137
David Galbut and Gita Galbut 10.11%
2200 Biscayne Blvd.
Miami FL 33137
Interests in SBH Management Company, LLC
Percentage of Interest
CH Investment Holdings, LLC 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in CH Investment Holdings. LLC
Percentage of Interest
S Kahn CH Investments, LLLP 18.685%
2200 Biscayne Blvd.
Miami FL 33137
S Kahn CH Holdings, LLLP 18.351%
2200 Biscayne Blvd.
.9
Miami FL 33137
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Galbut CH Investments, LLLP 18.685%
2200 Biscayne Blvd.
Miami FL 33137
Galbut CH Holdings, LLLP 18.351%
2200 Biscayne Blvd.
Miami FL 33137
Menin CH-BT Co, LLLP 19.56%
2200 Biscayne Blvd.
Miami FL 33137
Menin CH Holdings, LLLP 6.435%
2200 Biscayne Blvd.
Miami FL 33137
Interests in S Kahn CH Investments. LLLP
Percentage of Interest
S Kahn CH Investments 1, LLC 1%
2200 Biscayne Blvd.
Miami FL 33137
SK Business Trust 99%
2200 Biscayne Blvd.
Miami FL 33137
Interests in S Kahn CH Investments 1, LLC
Percentage of Interest
0
SK Business Trust 100%
2200 Biscayne Blvd.
Miami FL 33137
0
Interests in SK Business Trust
Percentage of Interest
0
Sonny Kahn 100%
2200 Biscayne Blvd.
Miami FL 33137
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Interests in S Kahn CH Holdings, LLLP
Percentage of Interest
S Kahn CH Management, LLC 1%
2200 Biscayne Blvd.
Miami FL 33137
Kahn 2009 Investments Irrevocable Trust 99%
2200 Biscayne Blvd..
Miami FL 33137
Interests in S Kahn Management, LLC
Percentage of Interest
Kahn Management Trust 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Kahn Management Trust
Percentage of Interest
Sonny Kahn 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Kahn 2009 Investments Irrevocable Trust
Percentage of Interest
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0
Sonny Kahn 100%
2200 Biscayne Blvd.
Miami FL 33137
0
Interests in Galbut CH Investments, LLLP
Percentage of Interest
Galbut CH Investments 1, LLC 1%
04.
2200 Biscayne Blvd.
Miami FL 33137
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RF Business Trust 99%
2200 Biscayne Blvd.
Miami FL 33137
•
Interests in Galbut CH Investments 1, LLC
Percentage of Interest
RF Business Trust 100%
2200 Biscayne Blvd.
Miami FL.33137
Interests in RF Business Trust
Percentage of Interest
Russell W. Galbut 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Galbut CH Holdings, LLLP
Percentage of Interest
Galbut CH Management, LLC 1%
2200 Biscayne Blvd.
Miami FL 33137
Galbut 2009 Investments Irrevocable Trust 99%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Galbut CH Management, LLC
a
Percentage of Interest
Galbut Management Trust 100%
2200 Biscayne Blvd.
Miami FL 33137
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Interests in Galbut Management Trust
Percentage of Interest
Russell W. Galbut 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Galbut 2009 Investments Irrevocable Trust
Percentage of Interest
Russell W. Galbut 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Menin CH-BT Co., LLLP
Percentage of Interest
Menin CH-BT Co., LLC 1%
2200 Biscayne Blvd.
Miami FL 33137
Menin 1998 Business Trust 99%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Menin CH-BT Co., LLC
Percentage of Interest
Menin 1998 Business Trust 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Menin 1998 Business Trust
Percentage of Interest
Bruce Menin 100%
2200 Biscayne Blvd.
Miami FL 33137
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Interests in Menin CH Holdings. LLLP
Percentage of Interest
Menin CH Management, LLC 1%
2200 Biscayne Blvd.
Miami FL 33137
Menin CH Holdings, LLC 99%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Menin CH Management, LLC
Percentage of Interest
Menin Management Trust 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Menin Management Trust
Percentage of Interest
Bruce Menin 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Menin CH Holdings, LLC •
Percentage of Interest
Menin 2009 Investments Irrevocable Trust 100%
2200 Biscayne Blvd.
Miami FL 33137
Interests in Menin 2009 Investments Irrevocable Trust
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0
Percentage of Interest
Bruce Menin 100%
2200 Biscayne Blvd.
Miami FL 33137
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Interests in KGM Equities, LLC
Percentage of interest
Sonny Kahn 2004 Irrevocable Trust 37%
2200 Biscayne Blvd.
Miami FL 33137
Russell W. Galbut 2004 Irrevocable Trust 37%
2200 Biscayne Blvd.
Miami FL 33137
Bruce A. Menin 2004 Irrevocable Trust 26%
2200 Biscayne Blvd.
Miami FL 33137
Beneficiaries of Sonny Kahn 2004 Irrevocable Trust
•
Percentage of Interest
Elliott Kahn 20%
2200 Biscayne Blvd.
Miami FL 33137
• Joshua Kahn 20%
2200 Biscayne Blvd.
Miami FL 33137
Naomi Kahn 20%
2200 Biscayne Blvd.
Miami FL 33137
Rachel Kahn 20%
2200 Biscayne Blvd.
Miami FL 33137
Avigail Kahn 20%
2200 Biscayne Blvd.
Miami FL 33137
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Beneficiaries of Russell W. Galbut 2004 Irrevocable Trust
Percentage of Interest
Marisa Galbut 50%
2200 Biscayne Blvd.
Miami FL 33137
Jenna Galbut 50%
2200 Biscayne Blvd.
Miami FL 33137
Beneficiaries of Bruce A. Menin 2004 Irrevocable Trust
Percentage of Interest
Maxwell Menin 33.33%
2200 Biscayne Blvd.
Miami FL 33137
Mason Menin 33.33%
2200 Biscayne Blvd.
Miami FL 33137
Lucas Menin 33.33%
2200 Biscayne Blvd.
Miami FL 33137
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Miscellaneous Cash Receipt �.
CITYyOF MIAMI BEACH No. 431417
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Total 2,050.00
CHECK • 350.00
Check .Number001201
CHECK 850,00
Check Nuinber001202
CHECK 850.00
Check Numbe• r001203
Change due 0.00
Paid by: SMK ASSET MANAGEMENT LLC
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